早期卒中风险预测工具评分、Essen卒中风险评估量表与肢体功能异常评分预测短暂性脑缺血发作短期进展为缺血性脑卒中的诊断效能

ABCD2 Score and ESRS+HSSS Score Predicted the Diagnostic Efficacy of Transient Ischemic Attack to Ischemic Stroke

目的:探讨早期卒中风险预测工具(ABCD2)评分、Essen卒中风险评估量表(ESRS)+肢体功能异常(HSSS)评分预测短暂性脑缺血发作(TIA)短期进展为缺血性脑卒中的诊断效能。方法:选取2021年5月—2022年5月吴川市人民医院收治的TIA患者128例作为研究对象。所有患者进行常规治疗并观察<1周进展情况,根据ABCD2评分、ESRS+HSSS评分进行危险性分级(高、中、低危),观察高、中、低危患者<1周缺血性脑卒中发生率,使用CT灌注扫描检查患者的脑缺血情况,评估ABCD2评分和ESRS+HSSS评分预测TIA短期进展为缺血性脑卒中的效能。结果:ABCD2评分高危组TIA后<1周缺血性脑卒中发生率高于低危组和中危组,差异有统计学意义(P<0.05);ESRS+HSSS评分高危组<1周的缺血性脑卒中发生率高于低危组和中危组,差异有统计学意义(P<0.05)。ABCD2评分预测TIA后<1周发生缺血性脑卒中的药时曲线下面积为0.691,ESRS+HSSS评分为0.825,差异有统计学意义(P<0.05)。结论:ABCD2评分、ESRS+HSSS评分预测可TIA患者短期进展为缺血性脑卒中的风险,对于提高TIA患者生存质量和TIA的分级防治具有重要意义。

Objective:To investigate the diagnostic efficacy of ABCD2 score and Essen Stroke Risk Assessment Scale(ESRS)+HSSS score in predicting the short-term progression of transient ischemic attack(TIA)to ischemic stroke.Methods:A total of one hundred and twenty-eight TIA patients admitted to Wuchuan People's Hospital from May 2021 to May 2022 were selected as the study objects.All patients received conventional treatment and observed the progress of<1 week.Risk classification(high,medium and low risk)was performed according to ABCD2 score and ESRS+HSSS score.The incidence of ischemic stroke<1 week in high,medium and low risk patients was observed,and the cerebral ischemia of patients was examined by CT perfusion scan.The efficacy of ABCD2 scores and ESRS+HSSS scores in predicting the short-term progression of TIA to ischemic stroke were evaluated.Results:The incidence of ischemic stroke<1 week after TIA in high-risk group was higher than that in low-risk group and medium-risk group,the difference was statistically significant(P<0.05);The incidence of ischemic stroke in high-risk group<1 week with ESRS+HSSS score was higher than that in low-risk group and medium-risk group,and the difference was statistically significant(P<0.05);ABCD2 score predicted the area under the drug time curve of ischemic stroke<1 week after TIA was 0.691,and ESRS+HSSS score was 0.825,the difference was statistically significant(P<0.05).Conclusion:ABCD2 score and ESRS+HSSS score predict the risk of short-term ischemic stroke in patients with TIA,which is of great significance for improving the quality of life of patients with TIA and the hierarchical prevention and treatment of TIA.